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A Case Report. BACKGROUND Post-poliomyelitis syndrome (PPS) is a progressive neuromuscular syndrome, with chronic pain being one of the most prevalent symptoms. We present a case report on intrathecal analgesic drug delivery to diminish chronic, refractory pain in a patient with PPS. CASE REPORT In a wheelchair-bound 45-year-old female patient (Caucasian, body mass index [BMI] […]
Read MoreThis does not deal with anesthesia but I thought this was very interesting so I wanted to share with our readers. By REED ABELSON and KATIE THOMASJAN. 18, 2018 A group of large hospital systems plans to create a nonprofit generic drug company to battle shortages and high prices. For years, hospital executives have expressed frustration when essential drugs […]
Read MoreResearchers have identified sedation medications and practices associated with the best clinical outcomes in children. Researchers at the Children’s Hospital of Eastern Ontario (CHEO), Ottawa, Ontario, looked at the incidence of and risk factors associated with sedation-related adverse events in paediatric emergency departments as part of a multi-centre observational study, published online by JAMA Pediatrics. […]
Read MoreAuthor: Karen Kaplan A new study examines how infant and child mortality became so much worse in the U.S. than in other wealthy countries. It’s no surprise that the United States ranks absolutely last in child mortality among the world’s wealthiest countries — that’s been true for years. A new study examines how this sad […]
Read MoreThe Centers for Medicare and Medicaid Services (CMS) announced a new voluntary Medicare payment model as a replacement for the recently cancelled mandatory bundled payment program. A full copy of the announcement is here or below. ASA will continue to review this release to provide updates. CMS announces new payment model to improve quality, coordination, and cost-effectiveness […]
Read MoreAuthor: Patrycja Olszynski, MD A newly described infraclavicular approach to the brachial plexus may provide additional potential benefits over the traditional technique. According to the sonoanatomy of this approach, the shorter distance between the upper part of the artery and cutaneous surface and the clustering of cords lateral to the artery could lead to a […]
Read MoreAUTHOR: Hannah Xu, MD Retrospective analyses of total hip replacement (THR) surgeries in California, Florida and New York indicate that insurance status is associated with perioperative risks. According to the findings, Medicaid and other non-private insurance patients had higher unadjusted rates and risk-adjusted odds of in-hospital mortality, postoperative complications, and 30- and 90-day readmission rates […]
Read MoreTrends and Complications Thomas C. Mort, MD Senior Anesthesiologist Associate Director, Surgical ICU Hartford Hospital Associate Professor of Anesthesiology and Surgery University of Connecticut School of Medicine Farmington, Connecticut Daniel Tighe, DO Anesthesiology and Critical Care Medicine Hartford Hospital University of Connecticut School of Medicine Farmington, Connecticut Obesity is a major health caredilemma. All aspects […]
Read MoreAUTHORS: Nagappa, Mahesh MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1301–1308 BACKGROUND: The risk of postoperative complications increases with undiagnosed obstructive sleep apnea (OSA). The high-risk OSA (HR-OSA) patients can be easily identified using the STOP-Bang screening tool. The aim of this systematic review and meta-analysis is to […]
Read MoreAuthors: Onil Bhattacharyya, MD, PhD et al The Commonwealth Fund Women’s College Hospital The shift from volume- to value-based payment may constrain revenue, forcing organizations to consider dramatic changes to care delivery. Doing this may require increasing their capacity for innovation relative to incremental improvement. Innovation and improvement are sometimes used interchangeably, but the distinction […]
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